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Validating Emergency Department Admission Predictions Based on Local Data Through MIMIC-IV

arXiv.org Artificial Intelligence

The effective management of Emergency Department (ED) overcrowding is essential for improving patient outcomes and optimizing healthcare resource allocation. This study validates hospital admission prediction models initially developed using a small local dataset from a Greek hospital by leveraging the comprehensive MIMIC-IV dataset. After preprocessing the MIMIC-IV data, five algorithms were evaluated: Linear Discriminant Analysis (LDA), K-Nearest Neighbors (KNN), Random Forest (RF), Recursive Partitioning and Regression Trees (RPART), and Support Vector Machines (SVM Radial). Among these, RF demonstrated superior performance, achieving an Area Under the Receiver Operating Characteristic Curve (AUC-ROC) of 0.9999, sensitivity of 0.9997, and specificity of 0.9999 when applied to the MIMIC-IV data. These findings highlight the robustness of RF in handling complex datasets for admission prediction, establish MIMIC-IV as a valuable benchmark for validating models based on smaller local datasets, and provide actionable insights for improving ED management strategies.


Sparse Autoencoder as a Zero-Shot Classifier for Concept Erasing in Text-to-Image Diffusion Models

arXiv.org Artificial Intelligence

Text-to-image (T2I) diffusion models have achieved remarkable progress in generating high-quality images but also raise people's concerns about generating harmful or misleading content. While extensive approaches have been proposed to erase unwanted concepts without requiring retraining from scratch, they inadvertently degrade performance on normal generation tasks. In this work, we propose Interpret then Deactivate (ItD), a novel framework to enable precise concept removal in T2I diffusion models while preserving overall performance. ItD first employs a sparse autoencoder (SAE) to interpret each concept as a combination of multiple features. By permanently deactivating the specific features associated with target concepts, we repurpose SAE as a zero-shot classifier that identifies whether the input prompt includes target concepts, allowing selective concept erasure in diffusion models. Moreover, we demonstrate that ItD can be easily extended to erase multiple concepts without requiring further training. Comprehensive experiments across celebrity identities, artistic styles, and explicit content demonstrate ItD's effectiveness in eliminating targeted concepts without interfering with normal concept generation. Additionally, ItD is also robust against adversarial prompts designed to circumvent content filters. Code is available at: https://github.com/NANSirun/Interpret-then-deactivate.


Learning local neighborhoods of non-Gaussian graphical models: A measure transport approach

arXiv.org Artificial Intelligence

Identifying the Markov properties or conditional independencies of a collection of random variables is a fundamental task in statistics for modeling and inference. Existing approaches often learn the structure of a probabilistic graphical model, which encodes these dependencies, by assuming that the variables follow a distribution with a simple parametric form. Moreover, the computational cost of many algorithms scales poorly for high-dimensional distributions, as they need to estimate all the edges in the graph simultaneously. In this work, we propose a scalable algorithm to infer the conditional independence relationships of each variable by exploiting the local Markov property. The proposed method, named Localized Sparsity Identification for Non-Gaussian Distributions (L-SING), estimates the graph by using flexible classes of transport maps to represent the conditional distribution for each variable. We show that L-SING includes existing approaches, such as neighborhood selection with Lasso, as a special case. We demonstrate the effectiveness of our algorithm in both Gaussian and non-Gaussian settings by comparing it to existing methods. Lastly, we show the scalability of the proposed approach by applying it to high-dimensional non-Gaussian examples, including a biological dataset with more than 150 variables.


Generating Medically-Informed Explanations for Depression Detection using LLMs

arXiv.org Artificial Intelligence

Early detection of depression from social media data offers a valuable opportunity for timely intervention. However, this task poses significant challenges, requiring both professional medical knowledge and the development of accurate and explainable models. In this paper, we propose LLM-MTD (Large Language Model for Multi-Task Depression Detection), a novel approach that leverages a pre-trained large language model to simultaneously classify social media posts for depression and generate textual explanations grounded in medical diagnostic criteria. We train our model using a multi-task learning framework with a combined loss function that optimizes both classification accuracy and explanation quality. We evaluate LLM-MTD on the benchmark Reddit Self-Reported Depression Dataset (RSDD) and compare its performance against several competitive baseline methods, including traditional machine learning and fine-tuned BERT. Our experimental results demonstrate that LLM-MTD achieves state-of-the-art performance in depression detection, showing significant improvements in AUPRC and other key metrics. Furthermore, human evaluation of the generated explanations reveals their relevance, completeness, and medical accuracy, highlighting the enhanced interpretability of our approach. This work contributes a novel methodology for depression detection that combines the power of large language models with the crucial aspect of explainability.


Inference-Time Intervention in Large Language Models for Reliable Requirement Verification

arXiv.org Artificial Intelligence

Steering the behavior of Large Language Models (LLMs) remains a challenge, particularly in engineering applications where precision and reliability are critical. While fine-tuning and prompting methods can modify model behavior, they lack the dynamic and exact control necessary for engineering applications. Inference-time intervention techniques provide a promising alternative, allowing targeted adjustments to LLM outputs. In this work, we demonstrate how interventions enable fine-grained control for automating the usually time-intensive requirement verification process in Model-Based Systems Engineering (MBSE). Using two early-stage Capella SysML models of space missions with associated requirements, we apply the intervened LLMs to reason over a graph representation of the model to determine whether a requirement is fulfilled. Our method achieves robust and reliable outputs, significantly improving over both a baseline model and a fine-tuning approach. By identifying and modifying as few as one to three specialised attention heads, we can significantly change the model's behavior. When combined with self-consistency, this allows us to achieve perfect precision on our holdout test set.


Effortless Active Labeling for Long-Term Test-Time Adaptation

arXiv.org Artificial Intelligence

Long-term test-time adaptation (TTA) is a challenging task due to error accumulation. Recent approaches tackle this issue by actively labeling a small proportion of samples in each batch, yet the annotation burden quickly grows as the batch number increases. In this paper, we investigate how to achieve effortless active labeling so that a maximum of one sample is selected for annotation in each batch. First, we annotate the most valuable sample in each batch based on the single-step optimization perspective in the TTA context. In this scenario, the samples that border between the source- and target-domain data distributions are considered the most feasible for the model to learn in one iteration. Then, we introduce an efficient strategy to identify these samples using feature perturbation. Second, we discover that the gradient magnitudes produced by the annotated and unannotated samples have significant variations. Therefore, we propose balancing their impact on model optimization using two dynamic weights. Extensive experiments on the popular ImageNet-C, -R, -K, -A and PACS databases demonstrate that our approach consistently outperforms state-of-the-art methods with significantly lower annotation costs.


RAT: Boosting Misclassification Detection Ability without Extra Data

arXiv.org Artificial Intelligence

As deep neural networks(DNN) become increasingly prevalent, particularly in high-stakes areas such as autonomous driving and healthcare, the ability to detect incorrect predictions of models and intervene accordingly becomes crucial for safety. In this work, we investigate the detection of misclassified inputs for image classification models from the lens of adversarial perturbation: we propose to use robust radius (a.k.a. input-space margin) as a confidence metric and design two efficient estimation algorithms, RR-BS and RR-Fast, for misclassification detection. Furthermore, we design a training method called Radius Aware Training (RAT) to boost models' ability to identify mistakes. Extensive experiments show our method could achieve up to 29.3% reduction on AURC and 21.62% reduction in FPR@95TPR, compared with previous methods.


Uncertainty Distillation: Teaching Language Models to Express Semantic Confidence

arXiv.org Artificial Intelligence

As large language models (LLMs) are increasingly used for factual question-answering, it becomes more important for LLMs to have the capability to communicate the likelihood that their answer is correct. For these verbalized expressions of uncertainty to be meaningful, they should reflect the error rates at the expressed level of confidence. However, when prompted to express confidence, the error rates of current LLMs are inconsistent with their communicated confidences, highlighting the need for uncertainty quantification methods. Many prior methods calculate lexical uncertainty, estimating a model's confidence in the specific string it generated. In some cases, however, it may be more useful to estimate semantic uncertainty, or the model's confidence in the answer regardless of how it is verbalized. We propose a simple procedure, uncertainty distillation, to teach an LLM to verbalize calibrated semantic confidences. Using held-out data to map initial uncertainty estimates to meaningful probabilities, we create examples annotated with verbalized probabilities for supervised fine-tuning. We demonstrate our method yields verbalized confidences that correlate with observed error rates with a small fine-tuned language model as well as with larger instruction-tuned models, and find that our semantic uncertainty correlates well with lexical uncertainty on short answers.


Sepsyn-OLCP: An Online Learning-based Framework for Early Sepsis Prediction with Uncertainty Quantification using Conformal Prediction

arXiv.org Artificial Intelligence

Sepsis is a life-threatening syndrome with high morbidity and mortality in hospitals. Early prediction of sepsis plays a crucial role in facilitating early interventions for septic patients. However, early sepsis prediction systems with uncertainty quantification and adaptive learning are scarce. This paper proposes Sepsyn-OLCP, a novel online learning algorithm for early sepsis prediction by integrating conformal prediction for uncertainty quantification and Bayesian bandits for adaptive decision-making. By combining the robustness of Bayesian models with the statistical uncertainty guarantees of conformal prediction methodologies, this algorithm delivers accurate and trustworthy predictions, addressing the critical need for reliable and adaptive systems in high-stakes healthcare applications such as early sepsis prediction. We evaluate the performance of Sepsyn-OLCP in terms of regret in stochastic bandit setting, the area under the receiver operating characteristic curve (AUROC), and F-measure. Our results show that Sepsyn-OLCP outperforms existing individual models, increasing AUROC of a neural network from 0.64 to 0.73 without retraining and high computational costs. And the model selection policy converges to the optimal strategy in the long run. We propose a novel reinforcement learning-based framework integrated with conformal prediction techniques to provide uncertainty quantification for early sepsis prediction. The proposed methodology delivers accurate and trustworthy predictions, addressing a critical need in high-stakes healthcare applications like early sepsis prediction.


NERCat: Fine-Tuning for Enhanced Named Entity Recognition in Catalan

arXiv.org Artificial Intelligence

Named Entity Recognition (NER) is a critical component of Natural Language Processing (NLP) for extracting structured information from unstructured text. However, for low-resource languages like Catalan, the performance of NER systems often suffers due to the lack of high-quality annotated datasets. This paper introduces NERCat, a fine-tuned version of the GLiNER[1] model, designed to improve NER performance specifically for Catalan text. We used a dataset of manually annotated Catalan television transcriptions to train and fine-tune the model, focusing on domains such as politics, sports, and culture. The evaluation results show significant improvements in precision, recall, and F1-score, particularly for underrepresented named entity categories such as Law, Product, and Facility. This study demonstrates the effectiveness of domain-specific fine-tuning in low-resource languages and highlights the potential for enhancing Catalan NLP applications through manual annotation and high-quality datasets.